NPIMap

Organization Active NPI

Dillard and Associates

Doing business as medicap pharmacy

  • Community/Retail Pharmacy
  • Benson, NC
National Provider Identifier
1497904510
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07811 Issued in NC
Legal business name
DILLARD AND ASSOCIATES
Doing business as
medicap pharmacy
Practice address
70 Crape Myrtle Dr
Ste 103
Benson, NC 27504-8034
Phone
(919) 938-3800
Fax
(919) 938-3801
NPI assigned
Sep 12, 2008
Last updated
Sep 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jodie Ann Lumbrazo, RPHNPI 1184872640
Title
Pharmacist/Manager
Phone
(919) 938-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07811 NC Primary

Addresses

Primary practice location

70 Crape Myrtle Dr
Ste 103
Benson, NC 27504-8034

Mailing address

70 Crape Myrtle Dr
Ste 103
Benson, NC 27504-8034
Phone (919) 938-3800

Other identifiers 1

IdentifierTypeStateIssuer
0435478MedicaidNC

Other names 1

  • medicap pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

70 Crape Myrtle Dr
Ste 103
Benson, NC 27504
Phone (919) 938-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1497904510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 CRAPE MYRTLE DR",
            "address_2": "STE 103",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275048034",
            "telephone_number": "919-938-3800",
            "fax_number": "919-938-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CRAPE MYRTLE DR",
            "address_2": "STE 103",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275048034",
            "telephone_number": "919-938-3800",
            "fax_number": "919-938-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLARD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "LUMBRAZO",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "919-938-3800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "07811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435478",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "medicap pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.